Massage to prevent recurrence of lumbar disc herniation

In the fall and winter season, the weather is getting cooler and cooler, and the patients who come to the hospital to see the lumbar and leg pain are gradually more and more, many of whom have had lumbar disc herniation for many years and have been clinically cured by conservative treatment and then relapsed, and the symptoms appear every year in the alternation of fall and winter are also not a few. How to prevent the recurrence of lumbar disc herniation has become the concern of many patients with lumbar herniation. First of all, let’s recognize lumbar disc herniation. Lumbar disc herniation is one of the more common lumbar disorders in clinical practice, and it is a common and frequent disease in orthopedics and traumatology. Mainly because of the lumbar intervertebral disc parts (nucleus pulposus, annulus fibrosus and cartilage plate), especially the nucleus pulposus, in varying degrees of degenerative changes, in the role of external factors, the intervertebral disc of the annulus fibrosus rupture, the nucleus pulposus tissue protrudes from the rupture place (or out) in the posterior or in the vertebral canal, leading to the adjacent tissues, such as the spinal nerve root, the cauda equina cone and so on suffered from stimulation or compression, resulting in pain in the lumbar region, numbness, pain, etc., in the lower extremities of one or both lower extremities. Numbness and pain in one or both lower limbs and a series of clinical symptoms. There are three main causes, one is the degenerative changes of the lumbar intervertebral disc, the degeneration of the nucleus pulposus is mainly manifested as a decrease in water content, and can be caused by the loss of water to the vertebral joints of the instability of the loosening of a small range of pathological changes; degeneration of the annulus fibrosus is mainly manifested as a decrease in the degree of toughness. Lack of blood supply to the intervertebral disc, weak repair energy, daily life of the intervertebral disc by all aspects of the extrusion, pulling and twisting effect, easy to make the intervertebral disc nucleus pulposus, annulus fibrosus, cartilage plate gradual aging, resulting in the annulus fibrosus is easy to rupture, which leads to herniation of the intervertebral disc. Secondly, trauma and strain injury, due to the lumbar vertebrae arrangement is physiological anterior convex, the disc is thick in front and thin in the back, when the patient in the lumbar injury, fall, flash waist, etc., the nucleus pulposus of the intervertebral disc to move backward, resulting in backward herniation of the disc. When the lumbar load is too heavy, long-term stooping work, such as: coal miners or construction workers, need to bend over for a long time to take heavy objects, lumbar intervertebral discs are subjected to excessive pressure, which can easily lead to intervertebral disc annulus fibrosus rupture. Automobile and tractor drivers in the driving process, long-term sitting and bumpy state, the lumbar intervertebral discs under excessive pressure, can lead to intervertebral disc degeneration and herniation. Thirdly, cold and dampness can cause small blood vessel contraction and muscle spasm, which increases the pressure on the intervertebral discs and may also cause the fibrous annulus of the degenerated intervertebral discs to rupture. Treatment for lumbar disc herniation includes non-surgical treatment (conservative treatment) and surgical treatment. Non-surgical treatments include Traditional Chinese Medicine (TCM) massage therapy, traction therapy, internal and external medications, acupuncture, needle knife therapy, and physical therapy. Most patients with lumbar disc herniation can be clinically cured by conservative treatment. Since many factors can cause the recurrence of symptoms, we should try to avoid the appearance of its triggers to prevent the recurrence of lumbar disc herniation. Preventive measures are as follows: First, local warmth, avoid cold. Because the cold can cause small blood vessel contraction, muscle spasm, so that the pressure of the intervertebral disc increases. Second, posture adjustment. Prone position, two upper arms perpendicular to the bed, two elbows supported on the bed, so that the lumbar convex forward, maintained for 15 minutes. 1 time every night. Because we work and live in daily life, sitting lumbar spine tends to convex backward, at this time the lumbar spine gap becomes narrow and wide, the intervertebral discs have a tendency to be squeezed backward, there will be a recurrence of herniated discs. The two elbows on the bed, so that the lumbar forward convex, the lumbar spine gap becomes wide after the narrow, so that the intervertebral disc forward displacement, thus avoiding the recurrence of herniated discs. Third, strengthen the lumbar back muscle exercise. You can use the “swallow fly” style, prone position, abdomen on the bed, the upper body and both lower limbs at the same time upward. After the lumbar back muscle strength, lumbar stability is strengthened, you can avoid the recurrence of herniated disc. Fourth, health care massage. Lumbar massage can promote lumbar qi and blood circulation, eliminate lumbar muscle fatigue, relieve lumbar muscle spasm and lumbar pain, so that the lumbar activities are flexible, robust and powerful. As a lumbar disc herniation clinically cured patients, often receive a health care massage, as long as the method is appropriate, can prevent the recurrence of disc herniation. Can be done by family members each other. Specific operations are as follows: 1, push and knead the lumbar back muscles. Prone position, the operator stood on the side of the bed, the first palm push method were along the spine center line and both sides of the spine from top to bottom to push 5 times, the force should be uniform, to do “light and not floating, heavy and not stagnant. Then use the palm kneading method were along the middle line of the spine and spine sides from top to bottom kneading 5 times. It can play a role in relaxing the tendons and collaterals. 2, kneading the life gate, kidney Yu, waist Yangguan, waist eye points. Rub the fate of the point: the fate of the point in the waist of the second lumbar vertebrae spinal protrusion of the depression, and the front of the umbilical cord in the (Shen Que point) opposite. Take the belly of the thumb and place it on the vital point, and press and knead it for 1 minute. Pressing and kneading this point has the effect of warming kidney yang and benefiting the lumbar spine. Kidney point: Kidney point is 1.5 inches below the spinous process of the second lumbar vertebra in the lumbar region, which is on a level with the point of the Gate of Life. With the thumb of each hand on both sides of the kidney point, rubbing for 1 minute. Pressing and kneading this point has the effect of nourishing yin and strengthening yang, tonifying the kidney and strengthening the waist. Knead waist Yang Guan point: waist Yang Guan point is in the depression under the spinous process of the fourth lumbar vertebra in the waist. Place the thumb on the lumbar Yangguan point and press and knead it for 1 minute. The Dugu meridian is the yang meridian, and this point is the gate through which yang qi passes. Pressing and kneading this point has the effect of unblocking yang qi, strengthening the waist and knees, and benefiting the lower yuan. Waist Eye Point: Waist Eye Point is 3.5 inches below the spinous process of the fourth lumbar vertebra in the lumbar region, level with Wa Yang Guan Point. Take the thumb of each hand and place it on the waist eye point on both sides, and press and knead it for 1 minute. Pressing and kneading this point has the effect of activating blood circulation, strengthening the waist and benefiting the kidneys. 3, flick the ring jump, take the commission in the point. The Huanjiu point is located in the lower part of the outer hip, when the most convex point of the greater trochanter of the femur and the sacral cleft line of the outer 1/3 and middle 1/3 of the intersection. The operator presses this point with both thumbs overlapping, and then plucks it vertically in the direction of the muscle tissue for 10 times. Flicking this point has the effect of dredging the meridians, activating blood circulation and relieving pain. Zhizhong point is at the center of the transverse line of the N fossa behind the knee joint. Rub your hands together until they are hot, and use both hands to simultaneously hold and knead (using the thumb and the fingers of the remaining four fingers to apply symmetrical force to hold and knead) the two lower extremity points of the Commission, for about 1 minute. The Acupuncture and Moxibustion Dacheng says: “the waist and back of the Commission in the request”. Take and rub this point, has the role of tendon relief, antispasmodic and pain relief. 4, shoot lumbosacral. Both hands into an empty fist, rhythmically patting the waist on both sides of the spine to the sacrum 150 times. Pat lumbosacral, with blood circulation, strong tendons and bones and other effects. 5, rub the waist. Rubbing hands to make hot, with the palm of the hand close to the waist, straight line back and forth across the waist, even for 150 times. Friction waist, with the blood circulation, warm menstruation, cold, strong waist and kidneys and so on. Waist health massage, once a day, perseverance, will see results.